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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한마취통증의학회(구 대한마취과학회) Korean Journal of Anesthesiology Korean Journal of Anesthesiology Vol.69 No.4
- 발행연도
- 2016.1
- 수록면
- 362 - 367 (6page)
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초록· 키워드
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Background: Hypothermia is common during arthroscopic shoulder surgery under general anesthesia, and anestheticimpaired thermoregulation is thought to be the major cause of hypothermia. This prospective, randomized, double-blind study was designed to compare perioperative temperature during arthroscopic shoulder surgery with interscalene brachial plexus block (IBPB) followed by general anesthesia vs. general anesthesia alone. Methods: Patients scheduled for arthroscopic shoulder surgery were randomly allocated to receive IBPB followed by general anesthesia (group GB, n = 20) or general anesthesia alone (group GO, n = 20), and intraoperative and postoperative body temperatures were measured. Results: The initial body temperatures were 36.5 ± 0.3oC vs. 36.4 ± 0.4oC in group GB vs. GO, respectively (P = 0.215). The body temperature at 120 minutes after induction of anesthesia was significantly higher in group GB than in group GO (35.8 ± 0.3oC vs. 34.9 ± 0.3oC; P < 0.001). The body temperatures at 60 minutes after admission to the post-anesthesia care unit were 35.8 ± 0.3oC vs. 35.2 ± 0.2oC in group GB vs. GO, respectively (P < 0.001). The concentrations of desflurane at 0, 15, and 120 minutes after induction of anesthesia were 6.0 vs. 6.0% (P = 0.330), 5.0 ± 0.8% vs. 5.8 ± 0.4% (P = 0.001), and 3.4 ± 0.4% vs. 7.1 ± 0.9% (P < 0.001) in group GB vs. GO, respectively. Conclusions: The present study demonstrated that preoperative IBPB could reduce both the intraoperative concentration of desflurane and the reduction in body temperature during and after arthroscopic shoulder surgery.
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등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Hughes MS / 2013 / Interscalene brachial plexus block for arthroscopic shoulder surgery: a systematic review / J Bone Joint Surg Am 95:1318~1324
Oh JH / 2014 / Warmed irrigation fluid does not decrease perioperative hypothermia during arthroscopic shoulder surgery / Arthroscopy 30:159~164
Kim YS / 2009 / Comparative study of the influence of room-temperature and warmed fluid irrigation on body temperature in arthroscopic shoulder surgery / Arthroscopy 25:24~29
Frank SM / 1997 / Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events. A randomized clinical trial / JAMA 277:1127~1134
Leslie K / 1995 / Mild hypothermia alters propofol pharmacokinetics and increases the duration of action of atracurium / Anesth Analg 80:1007~1014
Oh JH / 2014 / Warmed irrigation fluid does not decrease perioperative hypothermia during arthroscopic shoulder surgery / Arthroscopy 30:159~164
Kim YS / 2009 / Comparative study of the influence of room-temperature and warmed fluid irrigation on body temperature in arthroscopic shoulder surgery / Arthroscopy 25:24~29
Frank SM / 1997 / Perioperative maintenance of normothermia reduces the incidence of morbid cardiac events. A randomized clinical trial / JAMA 277:1127~1134
Leslie K / 1995 / Mild hypothermia alters propofol pharmacokinetics and increases the duration of action of atracurium / Anesth Analg 80:1007~1014
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